NPI | 1154048304 |
---|---|
Doing Business As | QUEENSRIDGE MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | SALONI LUCKOOR Owner 702-425-3060 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-27 |
Last Update Date | 2022-10-27 |